CLINICAL CLERKSHIP

Survival Guide
 FOREWORD

Dear Incoming Clinical Clerk,

Congratulations for making it this far!

For the next 365 days, you will be embarking on a new journey that
most of us describe as the hardest and the most challenging
chapter in medical school. Everyday, you will be working in a new
environment away from the comfort of our beloved Roxas hall. Like
you, we were also anxious and lost as to what is expected of us. We
often ask ourselves, “How can I prepare myself for clerkship?”, and
the answer is you can’t. No one is ever ready to tread this path. For
you to somehow have a glimpse, we present to you this clinical
clerkship survival guide. This is a collaboration of experiences and
advice as relayed and shared by the batches before us.

Please note that this guide should NEVER be used as a valid

reference material. Always go back to your clerkship manual.
Items and job descriptions listed per department may not hold true
once you step in as departmental policies are always changing
and are always dynamic.

This is a labor of love from our batch to yours. All we ask of you is to
pay it forward for the next batches to come.

Enjoy Clerkship!

Rikki Kent Ba-aco

Clinical Clerks President
Batch Medicus Devoveo 2018
 TABLE OF CONTENTS

I. Clerkship Materials and shopping list

II. Clerkship Logbook

III. Printers and Lockers

IV. Paper works

V. Departmental Endorsements:
Internal Medicine (ward)
Internal Medicine (OPD)
Pediatrics (ward)
Pediatrics (OPD)
Surgery (ward)
Surgery (OPD)
Obstetrics and Gynecology (ward)
Obstetrics and Gynecology (OPD)
Emergency Room Complex
Neonatal Intensive Care Unit
Psychiatry
Anesthesiology
Orthopedics
Ophthalmology, ENT – Head and Neck Surgery
Community

V. Requirements
Clerkship Materials
1 BAGS AND ORGANIZERS

Large backpack with

Laptop divider and with two side
pockets for easy access of
water containers and umbrella

Belt bag or sling bag for

storing diagnostic materials

4 Organizing pouches for storage

of medical supplies, toiletries,
gadgets and snacks
2 DIAGNOSTIC APPARATUS

DIAGNOSTIC KIT

Infrared
pulse oxymeter
thermometer

Opthalmoscope Energizer
Otoscope
White penlight

Tuning fork Neurohammer

with pin and brush

Stethoscope Blood pressure

*anesthesia rotation Apparatus
Requires 1 ordinary with varied cuff sizes:
Stethoscope for (a) Neonate cuff
BP monitoring and (b) Infant cuff
1 littman Stethoscope (c) Pedia cuff
for intubation (d) Adult cuff
3 OFFICE SUPPLIES/ PRINTABLES

SUPPLIES/PRINTABLES

Memo pad/
tickler
Assignment notebook

Pencil/ Ballpens/
Markers for labeling Small calculator

Retractable measuring Self-inking stamp

tape

Jaeger chart
Normal values chart
3 OFFICE SUPPLIES/ PRINTABLES

SUPPLIES/PRINTABLES

(1) Long sized clipboard

½ Index card
(2) Small clipboard
For requirements
for census
And merits list

Small stapler
Staple wires Transparent envelope
For NICU paper works

1 rim bondpaper
Time card
*for group sharing

2x2 id picture
Binder clips for index cards
4 MEDICAL SUPPLIES

MEDICAL SUPPLIES

Clean gloves tongue

face mask depressor
1 box mask - P135 1 box (100pcs)- P190
1 box clean gloves- P280 For sharing
1 box sterile gloves- P800

Bandage scissors
Cotton balls
with container

IV cannula tourniquet

P15
Gauge #18,20, 22- P35
#24 - P38
#26 - P45

syringes
Transpore/ leukoplast
1cc- P3
3cc- P3.50
5cc- 3.75
10cc- P8
5 TOILETRIES

TOILETRIES

Alcohol mouthwash

Wet wipes
Facial wash

Tooth paste/ tooth brush pocket Lysol spray

For disinfecting apparatus

Face towel
tissue
6 MISCELLANEOUS

Coded lock
Spare batteries For locker
*AAA for penlight
*CR2032 button battery
for thermometer

Retractable id holder Laundry bag

For scrub suit
and slippers

Power bank/ charger Comfortable O.R.

slippers for long hours
of surgery

Extension cord,
IM platinum Portable fan
Surgery platinum
OB Gold

Blue book MIMS Drug reference

 LOGBOOK COVER

Design a logbook cover with your batch name and batch logo as the primary
cover. Also indicate: West Visayas State University College of Medicine, Clinical
Clerk’s Logbook and the school year. Label separately with another strip of sticker
paper with your name.

Logbook: 200 pages 7in x11in (Valiant or any brand). Buy as a class at Iznart street
for P40.00 per logbook. National book store price: P45.00

Print the 7inx11in design in an A4 sized sticker paper (8.3x11.7) to make flaps that
will secure the sticker paper on the inside of the logbook

Cover logbook with a regular plastic cover. Sticker transparent covers will make
your covers crumply and readjusting it will erase the ink of your sticker paper.

Logbooks are submitted on the 5th day every other month (first submission August 5,
2018). No extensions allowed. Always update your table of contents and place
sticker tab dividers on every rotation. Failure to do so would correspond to certain
demerits.
 PRINTER

OB IM Pedia Surgery NICU

P4,800 x 5 = P24,000
Secure five EPSON L120 printers (or any printer of your choice) in the
specified areas: OB ward, IM ward, Pedia ward, Surgery ward and
NICU. Printers are essential in printing copies of census, requirements
and paper works.

Our batch agreed on a last touch, ikaw pa repair policy. In the event
that the printer was broken in the course of the group’s duty, the group
will be held responsible to have the printer repaired at the service
center in Bolilao (warranty covered for 1 year).
LOCKERS

130 – 6 = 124
functional locker

A B C

D E F G
 LOCKERS

GENERAL GUIDELINES
• Lockers were assigned through drawing of lots
• Secure lockers with a coded pad lock in case you
want to endorse things for your group mates
• 1 month before start of clerkship, have a memo
posted and signed by Mrs. Fe Robles stating:

GREETINGS!

Please be advised that effective June 1, 2018, the

lockers labelled WVSU College of Medicine will be
used by the clinical clerks of batch 2019. Current
occupants are requested to vacate their lockers
on or before May 30, 2018. Unopened lockers will
be forcibly unlocked after the said date. Thank
you very much!

• Secure a copy of the memo and ask the help from the
maintenance department of the hospital to open the
unopened lockers

• In the event that certain lockers will be forcibly opened,

please secure its contents in plastic bag labelled with its
corresponding locker number. Collect all remaining
contents in a box and have them secured in the college
of medicine.
 LOCKERS

A
A-1 A-2 A-3 A-4 A-5

A-6 A-7 A-8 A-9 A-10

A-11 A-12 A-13 A-14 A-15

A-16 A-17 A-18 A-19 A-20

LOCKERS

B
B-1 B-2 B-3 B-4

B-5 B-6 B-7 B-8

B-9 B-10 B-11 B-12

B-13 B-14 B-15 B-16

B-17 B-18 B-19 B-20

 LOCKERS

C
C-1 C-2 C-3 C-4 C-5

C-6 C-7 C-8 C-9 C-10

C-11 C-12 C-13 C-14 C-15

C-16 C-17 C-18 C-19 C-20

 LOCKERS

D
D-1 D-2 D-3 D-4 D-5

D-6 D-7 D-8 D-10

D-9

D-11 D-12 D-13 D-14 D-15

D-16 D-17 D-18 D-19 D-20

 LOCKERS

E-1 E-2 E-3

E-4 E-5 E-6

E
E-7 E-8 E-9

E-10 E-11 E-12

E-13 E-14 E-15

 LOCKERS

F-1 F-2 F-3o

F-4 F-5 F-6

F
F-7 F-8 F-9
A

F-10 F-11 F-12

F-13 F-14 F-15

 LOCKERS

G-1 G-2 G-3

G-4 G-5 G-6

G
G-7 G-8 G-9

G-10 G-11 G-12

G-13 G-14 G-15

PAPER WORKS
PAPER WORKS

ADMITTING/ PROGESS NOTES

ADMITTING NOTES

A summary of the
patient’s complete
history, physical
examination,
diagnosis and initial
plans upon
admission. To be
fulfilled by the clinical
clerk on deck

Deadline: within 24hrs

upon admission

PROGRESS NOTES

A daily assessment of
the patient in SOAP
format (Subjective,
Objective,
Assessment and
plans)

New entries should

be made daily.

RECEIVING/
ENDORSING NOTES
Same format with
that of admitting
notes. The initial notes
an intern writes upon
receiving a patient
previously decked to
another cointern.
Usually done upon
shifting to aother
rotation.
 PAPER WORKS

SAMPLE ADMITTING NOTES

Admitting Notes
4/17/18 Admitting patient Juan dela Cruz, 33 year old male, married from Jaro
3:00pm Iloilo city who came in due to Abdominal pain. History revealed that 1
day prior to consult, patient experienced sudden onset epigastric
BP 100/70 pain, squeezing in character, graded 6/10, not aggravated nor
HR 90 relieved by food intake. This was associated with fever (Tmax 38.6’c)
RR 20 and 1 episode of vomiting, non bilous, non projectile consisting of
T 37.8 previously eaten food about 1 cup in amount. Patient took
O2 98% paracetamol 500mg/tab and Buscopan 10mg/tab which gave slight
relief. 2 hrs prior to consult, abdominal pain migrated to the right lower
quadrant, with the same character, graded 10/10. persistence of signs
and symptoms prompted consult to this institution.
Pertinent positives: (+)fever, (+)vomiting (+)anorexia
Pertinent negatives: (-) bowel changes
Past medical history: no previous admissions and surgeries. No
maintenance medications. No food and drug allergies.
(-)DM, (-)HTN, (-)PTB (-)asthma (-)cancer
Family history: (+)HTN, DM- maternal
Personal social history: Non smoker, non alcoholic beverage drinker
Physical exam: Awake, in pain, anicteric sclerae, pink conjunctivae,
PERRLA, No cervical lymphadenopathies, symmetrical chest
expansion, clear breath sounds, adynamic precordium, normal
cardiac rate, regular rhythm, soft abdomen, (+)direct tenderness RLQ,
(+)rebound tenderness RLQ, (+)Rovsing’s (+)Murphy’s (+)Psoas sign (-)
Obturator sign, (-) goldflamm’s, grossly normal extremities, capillary
refill time <2 seconds, full pulses

A: Acute Appendicitis
P: Admit patient. Schedule for emergency Appendecomy
Labs: CBC, Plt, Blood typing, Urinalysis, Se. Na, K, protime, APTT, chest
xray AP view

Clinical Clerk incharge

 PAPER WORKS

SAMPLE PROGRESS NOTES

Progress Notes
4/18/18 s/o: Hospital day 1. s/p appendectomy via rockey davis incision. (+)
7:00am febrile episode (38.6’), soft abdomen (-) flatus, (-) vomiting. anicteric
sclerae, pink conjunctivae, PERRLA, No cervical lymphadenopathies,
BP 100/70 symmetrical chest expansion, clear breath sounds, adynamic
HR 92 precordium, normal cardiac rate, regular rhythm, GNE, CRT <2s, FP
RR 21 A: Gangrenous Appendicitis; s/p appendectomy (April 17, 2018)
T 37.9 P: Still on NPO
O2 98% Encourage deep breathing exercises
Repeat CBC, PLT, Se. Na, Se, Urrinalysis
Continue IV antibiotics

Clinical Clerk In charge

4/19/18 s/o: Hospital day 2. stable vital signs, afebrile, soft abdomen, (+) flatus,
7:00am dry coaptated wound in incision site. . anicteric sclerae, pink
conjunctivae, PERRLA, No cervical lymphadenopathies, symmetrical
BP 100/70 chest expansion, clear breath sounds, adynamic precordium, normal
HR 92 cardiac rate, regular rhythm, GNE, CRT <2s, FP
RR 21 A: Gangrenous Appendicitis; s/p appendectomy (April 17, 2018);
T 36.7 hypokalemia
O2 98% P: May have general liquids
Start rapid K: 10meqs KCl + 90cc PNSS to run for 5 cycles
Repeat serum K post 5th cycle

Clinical Clerk In charge

PAPER WORKS

CLINICAL HISTORY

CLINICAL HISTORY

Same data with that

of your admitting
notes but written on a
more detailed
format. To be filled up
by the clinical clerk
on deck

Deadline: within 24
hours upon admission
PAPER WORKS

MEDICAL ABSTRACT/ DISCHARGE SUMMARY

DISCHARGE SUMMARY

A document required
before the patient will
be discharged.

Front page: Patient’s

data, Admitting and
Final diagnosis and
brief history and
physical exam

Back page:
Diagnostic test
results, summary of
the patient’s course
in the wards and
medications.
Discharge orders
PAPER WORKS

FIVE SHEETS

CASE DISCUSSION

A Case study of the

patient’s diagnosis.
Start with a brief
introduction of the
patient’s history and
pertinent physical
exam followed by the
background of the
disease,
epidemiology,
pathophysiology,
clinical
manifestations,
differentials and
management.

Deadline: 48hrs upon

admission
PAPER WORKS

FIVE SHEETS

THERAPEUTIC FLOW CHART

A list of all the

medications
administered to the
patient. Include the
date started and
date when the drug
was discontinued. To
be updated daily

Deadline: 24hrs upon

admission
PAPER WORKS

FIVE SHEETS

LABORATORY FLOW SHEET

A summary of all the

laboratory and
diagnostic tests
undergone by the
patient. To be
updated daily

Deadline: 24hrs upon

admission
PAPER WORKS

FIVE SHEETS

PROBLEM LIST

A summary of all the

signs and symptoms
manifested by the
patient. Indicate
when the symptoms
started and when it
resolved. To be
updated daily

Deadline: 24hrs upon

admission
PAPER WORKS

FIVE SHEETS

THERAPEUTIC INDEX

A drug study of all the

medications
administered to the
patient. This includes
the Indication of use,
mechanism of action,
contra inidcations,
special precautions,
adverse reactions
and its interaction
with that of other
drugs currently being
used by the patient.
To be updated daily

Deadline: 24hrs upon

admission
LIST OF ABBREVIATIONS

ABBREVIATIONS

AS Anicteric Sclera
PC Pink Conjunctivae
PERRLA Pupils equally round, reactive to light
and accommodation
NCLAD No cervical lymphadenopathies
NNVE No neck vein engorgement
SCE Symmetrical chest expansion
CBS Clear breath sounds
AP Adynamic Precordium
NCRRR Normal Cardiac Rate and Regular Rhythm
GNE Grossly normal extremities
CRT Capillary refill time
FP Full pulses
ROTATIONS
ROTATIONS

• 1. IN-PATIENT/HOSPITAL
• Internal Medicine 4 weeks
• Pediatrics 4 weeks
• NICU 2 weeks
• ER Complex 2 weeks
• OB-Gyne 6 weeks
• Surgery 4 weeks
• Orthopedics 2 weeks
• EENT 2 weeks
• Anesthesiology 2 weeks
• Psychiatry 2 weeks

• 2. OUT-PATIENT DEPARTMENT
• Internal Medicine 4 weeks
• Pediatrics 4 weeks
• Ob-Gyne 2 weeks
• Surgery 2 weeks

• 3. COMMUNITY MEDICINE
• Igbaras 2 weeks
• Sta Barbara 2 weeks
• City Health 2 weeks
DUTY STATUS

• ON DUTY STATUS
• 7AM-7AM (the next day)
• Some departments have 5AM-7AM
and 5PM-7PM breaks
• Basically 24 hours straight in the
hospital
• On Duty will take the responsibilities
of FD and OC after 10AM during
Sundays and Holidays

• FROM DUTY STATUS

• 7AM (from OD status)- 5PM (the
same day)
• Up to 5PM during weekdays and
Saturdays but until 10AM during
Sundays or Holidays

• ON CALL STATUS
• 7AM - 5PM (the same day)
• Up to 5PM during weekdays and
Saturdays but until 10AM during
Sundays or Holidays
INTERNAL MEDICINE
ward
INTERNAL MEDICINE

SAMPLE DUTY SCHEDULE

 INTERNAL MEDICINE

RESPONSIBILITIES

ON DUTY
• Schedule: 7AM-7AM (the next day)
• Breaks: 5AM-7AM and 5PM-7PM
• Residents in IM honor the two hour break so grab that chance to
take a bath, eat, and reflect! GO OUT before a patient goes on
arrest! Just make sure to be back on time because you will be
accountable if the patient arrests at exactly 7pm. Pero if may mag-
law-ay 4:58, wala ka choice but to stay and still you are expected
to be back by 7PM if naglakat ka pa gid after pagbulig mo sa
naglaw-ay.

Main tasks:

• IV Cannula Insertion • Suctioning of Oropharynx,

• NGT Insertion Tracheostomy and
• Foley/Straight Catheterization Endotracheal Tube
• Gastric Lavage • CPR
• CPR • Always wear, masks and
• Interpretation of Skin Tests gloves during CPR
• DRE • Make sure that the the IV lines
• ABG computation (there is a are infusing well and are
formula for this) patent.
• Make sure wala DNR ang
patient

• Monitor- Tip: even if q 10, at least check VS q 2-30 EXCEPT for

balantayan/morbid patients; If in ICU, do not forget to plot the VS
on the bedside; Tip: Befriend aides (Nursing assistants/aides) so you
can take VS alternately
• Labs- Compute for K Deficit, ABG (All in IM Plat), Compare with
previous Labs if may ara), and RELAY!
• ABG, ECG, high serum Crea and Trop I MUST be relayed super
ASAP!
• Start typing your census if time permits
 INTERNAL MEDICINE

RESPONSIBILITIES

FROM DUTY
Schedule: 7AM-5PM
Main tasks:
• Endorse New Admissions during your tour of duty at the IM office by
7:30am: Before endorsement, do census rundown (how many
patients in the ward, male, female). No endorsements on holidays
and Sundays.
• PREPARE! Know History & and do thorough PE upon receiving the
patient! Secure a copy of what was done to the patient in the ER,
medications, laboratory and diagnostic results. Prepare your own
differentials. Study labs and then relate everything to Harrisons. Even
if you don’t know much about the disease/diagnosis, as long as you
really know your patient, you’ll survive.
• Make Discharge Summary/Medical Abstract in the IM ward and
ICU. Paper works in the floors and peripherals are accomplished by
your FD OPD counterpart.
• After all Discharge Summaries and Medical Abstarcts are done,
finish your own pending paperworks (5 sheets, Admitting Notes,
Clinical History, etc)
• Make prescriptions for all patients in the ward and ICU for the next
day (depends upon the residents as to who will be writing the
prescriptions but often times the FD are tasked to do it). All
prescriptions should be ready by 12MN! Because some patients
avail the “no balance billing” which is only available early in the
morning
 INTERNAL MEDICINE

RESPONSIBILITIES

ON CALL
• Schedule: 7AM-5PM
• A small group composed of three clerks shall be assigned as on call
for three areas: one for the ward and ICU, one for the third and
fourth floor and one for the peripherals (all other wards)
• If a small group only has 2 clerks, one will be on call for the wards
and ICU while the other for both floors and peripherals
Main tasks:
• Accompany patient for procedures, medical order E.g. X-ray, CT
Scan, Ultrasound, submit specimen from endoscopy unit to the
pathology lab.
• Pre read diagnostic procedures (make sure to know the history, and
current PE of your patient as this will aid the radiology resident in
reading films and scans)
• Monitor toxic patients in the floors and peripherals. Inform your
residents first thing in the morning that you are the OC assigned in
this area and ask them who are the patients who need close
monitoring or whatever they want you to do.
• CPRs- help the OD in times of arrest. All of you are tasked to help
but on calls are the most rested and has the most energy.
INTERNAL MEDICINE
OPD
INTERNAL MEDICINE

SAMPLE DUTY SCHEDULE

 INTERNAL MEDICINE OPD

RESPONSIBILITIES

ON DUTY
• Schedule: 7:30AM-7AM (the next day)
• A small group consisting of 3 members shall be divided into 3 posts:
ER, Peripherals, Floors

I. ER OD
7:30AM-7:30AM next day
• Receive endorsement from previous ER Ods. Work with ER Organic
interns
• Try Accomplishing History and PE less than 8minutes
• Stay focused! Everything in the ER is fast paced. Learn to work fast
while still being efficient
• Always stabilize patient first before accomplishing paper works
• Expected procedures are the same as mentioned in the IM ward
guide
• Make prescriptions for the next day for patients with due
medications
• Vital signs taking for all patients by 4am. Write it in the chart as side
notes for vital signs for 7am.
• Prepare endorsement for incoming ODs. Prepare to be asked
during endorsements in the IM office the next day.

II. Floors and Periphs OD

7:30AM-4:00PM OPD consults
7:00PM-5:00AM Periphs/ Floors
• Ward duties
• Make admitting notes and clinical history for patients admitted from
7:00PM to 5:00AM
• Make and update Census for designated wards. Input your census
together with the IM ward census
 INTERNAL MEDICINE OPD

RESPONSIBILITIES

FROM DUTY
• Schedule: 7:30AM-5:00PM
Post: Paper works writer for IM patients in floors and periphs
Tasks:
• Accomplish paper works (medical abstract, discharge summary)
• Backlogs overload
• Prescribe medications for the next day

ON CALL
• Schedule: 7:30AM-5:00PM
Post: IM OPD
Tasks:
• Receive and interview patients in the OPD
• Do thorough physical examination
• Give your own diagnosis and suggest your management
• At the end of consults, log all patients in the logbook
PEDIATRICS
WARD
PEDIATRICS

SAMPLE DUTY SCHEDULE

 PEDIATRICS

RESPONSIBILITIES

ON DUTY
• Schedule: 7AM-7AM (the next day). The department is strict with
punctuality. Tardiness would correspond to certain demerits. Make
sure you have signed your name at the logbook in the pedia
emergency room and your time card signed by the resident not
longer than 15mins from your log in time (most common cause of
demerits in our batch)
• Breaks: 5AM-7AM and 5PM-7PM (Take turns. The ward should not be
left unattended. Time cards must be countersigned by resident)
Main tasks
• Vitals signs monitoring every 4 hours or as indicated in the chart
(all pedia patients in the service ward must have a monitoring sheet
at the bed side. Failure to monitor and update the sheets would
correspond to demerits.)
• Ambu bagging for intubated patients
(the hospital does not have an available mechanical ventilator for
pedia patients thus interns must take turns in bagging the patient)
• IV insertion
(interns are allowed to insert an IV line in the service ward. You can try
inserting up to 2 times per patient. In the event that you were still
unable to insert, endorse the patient to your PGI and resident. The
residents discourage multiple attempts since there will be no more
viable veins left for them to insert)
• Morning Endorsement and Census Rundown at the pedia office
(during the tour of your duty, ask your resident incharge if which
among your new admissions shall you endorse the following day.
Endorsement should be done in a powerpoint format)
 PEDIATRICS

RESPONSIBILITIES

FROM DUTY
Schedule: 7AM-5PM
Lunch break: 12:00nn-1:00pm (must time in and out, countersigned by resident)
Main tasks:
• Endorse New Admissions during your tour of duty at the Pedia Office
• Make Discharge Summary/Medical Abstract in the pedia ward (type written
and printed)
• After all Discharge Summaries and Medical Abstarcts are done, finish your own
pending paperworks (5 sheets, Admitting Notes, pediatric data base, etc)
• Make prescriptions for all patients in the ward (Pediatric prescriptions should
only have 2 medications at most per pad. Remember to prescribe the
available drug preparation in our pharmacy. Do not just copy the dosages in
the cardex since these are the computed dosages per weight of the patient)

ON CALL
Schedule: 7:30AM-5PM
Lunch break: 12:00nn-1:00pm (must time in and out, countersigned by resident)
A small group composed of three clerks shall be assigned as on call for three
areas: one for the ward, one for the third and fourth floor and one for the
peripherals (all other wards)

Main tasks:
• Receive endorsement from your FD OPD pedia clinical clerk counterpart
• Monitor patients in the floors, peripherals and PICU
• On call clerk assigned in the ward will help in bagging an intubated patient
• Accompany patients for diagnostic procedures
• Accomplish discharge summaries and medical abstracts in your assigned area
• Endorse patients to the incoming OD OPD pedia clinical clerk counterpart
before time out
PEDIATRICS
OPD
 PEDIA OPD

RESPONSIBILITIES
ON DUTY
• Schedule: 7AM-7AM (the next day)
• Every OD schedule, clerks would follow the ER – ER – Periphs/floors
cycle
Main tasks:
Post: Pedia Emergency room OD
• 7:00AM to 7:00AM the next day
• Receive and interview patients using pedia history taking format
• Do procedures (IV insertion, OGT, blood extraction etc) for service
patients
• Prescribe medications, fill up laboratory requests
• Most common illnesses (PCAP, AGE with dehydration, Bronchial
Asthma)- familiarize guidelines and management of these cases!
• Accomplish pediatric data base and admitting notes for pay
patients

Post: Pedia Floors/Periphs

• 7:00AM-4:00PM- Do OPD consults
• At around 3PM, contact your OC Pedia ward counterpart to have
your endorsement . Take note of the patients with strict monitoring
so that you will be guided when you time in by 7PM
• 4:00-7:00PM – break
• 7:00PM-5:00AM- time in and monitor all patients in the PICU and
paywards. Basically you are the solo intern incharge of all pedia
patients not admitted in the service ward. Always record your vital
signs in the bed side monitoring sheet
• Update census and collate it with your pedia ward counterparts.
Make endorsement notes to be read by the incoming OC pedia
ward clerks so that they would know the patients to be monitored in
the floors and periphs
• 5:00AM-7:00AM - break
 PEDIA OPD

RESPONSIBILITIES
FROM DUTY
• Schedule: 7AM-5PM
• Post: Pedia OPD
Main tasks:
Vital signs and anthropometric measurement
Help interview patients when the number of patients for that day is
overwhelming
Log all patients in designated logbooks

ON CALL
• Schedule: 7:30AM-5PM
• Post: Pedia OPD
Main tasks:
• Interview patients, make assessment and suggest management
• Assist in OPD procedures (gastric lavage, blood extraction etc)
• By 3:00PM, start prescribing medications for floors/periphs patients
for the next day
SURGERY
WARD
 SURGERY

GENERAL INFORMATION

Surgery O.R. days: Mondays and Fridays

Clinical clerks order of call for OR: 1.) FD 2.) OC 3.) OD
• Two clinical clerks should always accompany the surgeons
during operations: The clerk on deck and another clerk of
different duty status from the clerk on deck (e.g. if the clerk on
deck is OD, an FD clerk should be the second assist. If the clerk
on deck is FD that day, an OC clerk should be the second
assist).
• No clerks of the same status should be assisting in same OR
room unless told by the residents.
• OD clerks are first call for OR from 5pm onwards
• Failure to scrub corresponds to demerits
• Surgery doesn’t give demerits. Offenses are automatically
charged as EXTENSIONS

Requirements:
10 major assists and 10 minor assists/ procedures
• Major assists: Operations done in the Operating room
• Minor assist/ procedures: CVP line insertion, IJ Catheter insertion,
minor operations of OPD patients (excision of small mass, Incision
and drainage etc.) Circumcision, wound suturing, etc.

ALWAYS SECURE A COPY OF THE OPERATIVE RECORDS OF YOUR

CASES! These are needed for clearance signing

Conference:
Pre op and Post op conference: Every Wednesdays at the OPD
AVR, 3pm-5pm
 SURGERY

Sample Major/Minor Operations Summary

*To be countersigned by the resident in charge
*a requirement for clearance signing
 SURGERY

RESPONSIBILITIES

ON DUTY
• Schedule: 7AM-7AM (the next day)
(7AM-7PM: Surgery Emergency room; 7PM-7AM: San Lorenzo Ruiz
Ward)
• Breaks: Take turns in having your lunch and dinner

Main tasks:
• Receive patients in the surgery emergency room from 7am to 7pm
with fully accomplished ER chart and trauma sheet (for trauma
cases)
• Common procedures: IV and foley catheter insertion, wound
suturing
• Scrub in during scheduled surgery of your decked patients
• Scrub in place with your FD and OC counterparts if their surgery
goes beyond 5pm (case to case basis)
• Assume the responsibilities of FD and OC in the ward from 7pm
onwards
• Start making census in the earliest possible time for you’ll never
know when emergency surgery cases will go up in the operating
room
• Accompany residents during their early morning rounds the next
day
• Prepare for endorsement the next day (Tues, Wed, Thurs)
 SURGERY

RESPONSIBILITIES

FROM DUTY
Schedule: 7AM-5PM
Breaks:
Main tasks:
• Endorse New Admissions during your tour of duty at the surgery
office by 7:30am. Endorsements are on every Tuesdays,
Wednesdays and Thursdays only.
• PREPARE! Surgery endorsements are GRADED. Know History & and
do thorough PE upon receiving the patient! Secure a copy of what
was done to the patient in the ER, medications, laboratory and
diagnostic results. Prepare your own differentials. Study labs and
then relate everything to Schwarts. Even if you don’t know much
about the disease/diagnosis, as long as you really know your
patient, you’ll survive.
• Make Discharge Summary/Medical Abstract in the WHOLE
HOSPITAL (surgery paper works in the floors and periphs always
come in piles as backlogs. Have extra energy for writing)
• After all Discharge Summaries and Medical Abstarcts are done,
finish your own pending paperworks (Admitting Notes, Clinical
History, etc). Residents often times do surprise checking of paper
works. Lacking paper works are automatically charged as
extensions
• Make prescriptions for all surgery patients in the SLR ward, San
Vicente Ward, Saint Camillus Ward and Surgical ICU. All
prescriptions should be ready by 12MN! Because some patients
avail the “no balance billing” which is only available early in the
morning
• FD clerks are first call as second assist to accompany the clerk on
deck during operations
 SURGERY

RESPONSIBILITIES

ON CALL
• Schedule: 7:30AM-5PM
• Breaks:
• Second call as second assist for operations
Main tasks:
• Divide yourselves and dress all patients for daily dressing in the
WHOLE hospital (start by dressing all patients in the SLR ward first)
*tip: It’s always handy to carry a surgical scissor and plaster with
you during dressing rounds
*First dressings of post op day 1 patients are done by the residents.
They assess first the status of the surgical wound.
*dressing of pay patients are usually accompanied by the first year
residents unless you were told to do so that you can dress them on
your own.
• Accompany and Assist residents during minor operations (CVP line
insertion, IJ catheter insertion etc)
• Accompany patients during diagnostic procedures (xray,
ultrasound, Ct scan, ultrasound guided thoracentesis, paracentecis
etc)
SURGERY
OPD
 SURGERY OPD

RESPONSIBILITIES

ON DUTY
• Schedule: 7AM-7AM (the next day)
(7AM-4PM: Surgery OPD; 7PM-7AM: Surgery Emergency Room)
• Break: 4PM-7PM
• All OPD clerks must attend endorsement in the surgery office every
Tue,Wed and Thurs and conference every wed 3PM
• Every Saturdays, OD and OC must scrub in and assist in minor
operations in the OR
Main tasks:
• Interview patients, give assessment and suggest management for
surgery OPD patients
• Assist in office procedures (removal of sutures, change of folly
catheter etc)
• Time in again by 7PM and receive endorsement from your surgery
ward OD counterparts
• Receive patients in the surgery emergency room from 7PM to 7AM
with fully accomplished ER chart and trauma sheet (for trauma
cases)
• Common procedures: IV and foley catheter insertion, wound
suturing

FROM DUTY
• Schedule: 7:30AM-5PM
• Post: Surgery OPD
• All OPD clerks must attend endorsement in the surgery office every
Tue,Wed and Thurs and conference every wed 3PM
Main tasks:
• Interview patients, give assessment and suggest management for
surgery OPD patients
• Assist in office procedures (removal of sutures, change of foley
catheter etc)
• Log patients in the OPD logbook
 SURGERY OPD

RESPONSIBILITIES
ON CALL
• Schedule: 7:30AM-5PM
• Post: Surgery OPD
• Every Saturdays, OD and OC must scrub in and assist in minor
operations in the OR
Main tasks:
• Before OPD consult starts, get the pink bag in the surgery office and
the autoclaved instruments in the ‘siomai steamer’ in the central
supply office beside the operating room
• Interview patients, make assessment and suggest management
• Assist in office procedures (removal of sutures, change of foley
catheter etc)
• Return pink bag and siomai steamer
OBSTETRICS & GYNECOLOGY

WARD
 OBGYNE

GENERAL INFORMATION

Surgery O.R. days: Wednesdays.

All clinical clerks must be in the operating room except for one OD
clerk to man the OB ER and one OC clerk to man the ward.

Clinical clerk on deck must assist during OR cases

Usually only one clerk is asked to assist and is usually accompanied
by a PGI. Unlike that of surgery rotation where in two clerks must
scrub in

Requirements:
5 IV Insertions
5 Foley catheter insertions
5 OB pelvic exam
5 Gyne pelvic exam
5 delivery assists
5 delivery attends

Conference:
Every Thursdays at the OPD AVR. 8am onwards

Patient Decking System

*Local deck (OB, GYN)
- decked to ODs only
- Patients with active management during the tour of
duty (delivery, prepartum started with oxytocin)
- Patients received at the ER ordered to be sent to labor
room for labor watch, direct to labor room
- Emergency surgeries (Emergency CS, Pelvic lap etc)
*General deck (OB, GYN)
- decked to clinical clerk in line regardless of duty status
- procedures done or scheduled some other day, not
during the tour of duty
- patient admitted to ward without active management
ex: admitted for observation due to GDM, GHPN,
Premature labor
- elective cases
 OBGYNE

RESPONSIBILITIES

ON DUTY
• Schedule: 7AM-7AM (the next day)
(7AM-6PM: OB Emergency room; 6PM-7AM: OB ward)
• Breaks: ask FDs and OCs to buy food for you. ODs can never leave
their post unless instructed. Residents are strict with ‘out of post’ rule.

Main tasks:
• Receive patients in the OB emergency room from 7am to 6pm with
fully accomplished ER chart
• Labor watch decked patients (Note: you can only perform
procedures with service patients! No IE, catheter insertion etc with
pay patients). In the event that the patient that you are monitoring
in the labor room still have not delivered beyond 7am the next day,
you still have to continue the labor watch in your FD status until
12nn. ODs the following day will take over the labor watch by 12nn.
• Scrub in during scheduled surgery of your decked patients
• One OD must man the ward during lunch breaks of the FDs and
OCs.
• Assume the responsibilities of FD and OC in the ward from 5pm
onwards
• Make census during the tour of duty. Always update AOG of
admitted prepartums and have it checked with your residents
before printing. Secure copies for the residents the next day
• Accompany residents during charting rounds and note orders in the
endorsement logbook (note patients with pending lab results and
other special orders)
• List in the CUDE logbook those patients who are for discharge IE the
following day
• Prepare for endorsement the next day
 OBGYNE

RESPONSIBILITIES

FROM DUTY
• Schedule: 7AM-5PM (the next day)
• Lunch break: 12:00nn-1:30pm (be kind enough to buy food for your
OD counter parts). At least one OD counter part must be in the
ward before you can leave your posts for lunch
Main tasks:
• FD OB interns are UNTOUCHABLE!
• Accomplish paper works and take a rest in the working area

ON CALL
• Schedule: 7:30AM-5PM
• Lunch break: 12:00nn-1:30pm (same with FD) in the event that all
ODs are busy, one OC must man the ward during lunch time
Main tasks:
A small group consisting of 5 members can be divided with the
following tasks:
1. Monitor prepartum patients in the wards and floors (attach to
patient)
2. Start paper works of patients (medical abstract, discharge
summary, referral notes etc
3. Make Prescriptions for the next day (ward and floors)
4. Facilitate discharge IE (CUDE) in the morning. When done, assist in
doing paper works
5. Follow up and update endorsement logbook (all labs should have
results and make sure patients had complied to lab requests specially
urinalysis). Do chart rounds to double check
*Tasks could be rotated for the next on call status
REQUIREMENTS

SAMPLE ASSIST/ATTEND FORM

REQUIREMENTS

SAMPLE GYNE PELVIC EXAM

REQUIREMENTS

SAMPLE OB PELVIC EXAM

REQUIREMENTS

SAMPLE FOLEY CATHETER/ IV INSERTON FORM

OBSTETRICS & GYNECOLOGY

OPD
 OBGYNE OPD

GENERAL INFORMATION:

Patient Registration time:

7:00AM – 9:00Am: Prenatal followup and first visits
10:00AM – 12:00NN: Gynecologic cases

Tips:
Prenatal followups will be received first
By 10:00AM, start interviewing first visits
By 11:00AM-12:00NN, start interviewing gyne cases

Laboratories for first visit: *always have a bundle of requests ready

CBC, PLT, blood typing, FBS, Urinalysis, Fecalysis, HBsAg, Anti TP,
GS/KOH of vaginal discharge, PAP smear, Ultrasound c/o OB
sinologist (Transvaginal for AOG <12wks; Transabdominal for AOG
>12wks)

Skills:
Computation of age of gestation using LMP
Estimated date of delivery
Familiarize maternal and fetal physiology (ex AOG when the fetus
starts moving etc)
Paps smear and pelvic exam

MONDAYS - High Risk Pregnancy (mothers with comorbids)

TUEDAYS – Regular consultation
WEDNESDAYS – Clearance day for scheduled ORs
THURSDAYS – Conference at OPD AVR
FRIDAYS – Cesarean Section O.R. day
SATURDAYS – Half day. OB consults only, No gyne
 OB OPD

RESPONSIBILITIES

ON DUTY
• Schedule: 7:30AM-7AM (the next day)
(7:30AM-4:00PM: OB OPD; 6:00PM-5:00AM: OB Emergency Room)
• Break: 4:00PM-6:00PM; 6:00AM-7:30AM
Main tasks:
OB OPD (7:30AM-4:00PM)
• Roles depends upon the discretion of the group
• First thing in the morning, take weight and vital signs of all OB
patients waiting outside the OB OPD
• Receive and interview prenatal, first visit and gyne patients
• Could ask permission to time out by 4PM to prepare for 6PM duty

OB ER (6:00PM-5:00AM)
• Receive endorsement from OB ward counter parts
• Receive and interview OBGYNE patients
• Have a thorough OB and prenatal history for prepartum mothers
• Study and interpret CTG strips (BVADC: Baseline, Variability
Acceleration, Deceleration, Contractions)
• Always inform ward counterparts and NICU clerks if there are new
prepartums for admission in the ER
• Endorse patients to ward counterparts by 6am
• Break: 6AM-7:30AM
 OB OPD

RESPONSIBILITIES

FROM DUTY
• Schedule: 7:30AM-5PM
• Post: OB OPD
Main tasks:
OB OPD (7:30AM-5:00PM)
• Some groups would opt that FD clerks would be the sole intern to
take vital signs and height of the patients (depends upon the
group)
• Receive and interview patients
• Log first visits (both OB and Gyne) in the first visit logbook

ON CALL
• Schedule: 7:30AM-5PM
• Post: OB OPD
Main tasks:
OB OPD (7:30AM-5:00PM)
• Before consults start, get Doppler and purple case from the OB
office. Refill fixatives for pap smear in the patho lab.
• Receive and interview patients
• Secure copies of all the charts and encode in the census.
Hardcopy and soft copy to be submitted at the OB office at the
end of rotation
• Return Doppler and purple case in the office
EMERGENCY ROOM
complex
 ER COMPLEX

RESPONSIBILITIES

ON DUTY
• Schedule: 7:30AM-7:30AM (the next day)
• Post: Internal Medicine Emergency Room
I. ER OD
• Receive endorsement from previous ER ODs. Work ER OPD
counterparts
• Try Accomplishing History and PE less than 8minutes
• Stay focused! Everything in the ER is fast paced. Learn to work fast
while still being efficient
• Always stabilize patient first before accomplishing paper works
• Expected procedures are the same as mentioned in the IM ward
guide
• Make prescriptions for the next day for patients with due
medications
• Vital signs taking for all patients by 4am. Write it in the chart as side
notes for vital signs for 7am.
• Prepare endorsement for incoming ODs. Prepare to be asked
during endorsements in the IM office the next day.

FROM DUTY

OFF! NO DUTY FOR THE WHOLE DAY

Utilize this time for complying lab requirements. Book schedule ahead
of time with the medtech in-charge in school.
 ER COMPLEX

RESPONSIBILITIES

ON CALL
• Schedule: 7:00AM-7:00PM
• Post: Pedia Emergency Room
Main Tasks
• Work hand in hand with PEDIA OPD OD counterparts
• Receive and interview patients using pedia history taking format
• Do procedures (IV insertion, OGT, blood extraction etc) for service
patients
• Prescribe medications, fill up laboratory requests
• Most common illnesses (PCAP, AGE with dehydration, Bronchial
Asthma)- familiarize guidelines and management of these cases!
NEONATAL INTENSIVE CARE UNIT
 NICU

RESPONSIBILITIES

ON DUTY
• Schedule: 7AM-7AM (the next day)
• Lunch Breaks: ask FDs and OCs to buy food for you.
• 5-7pm breaks if not availed can be converted to merits
Main tasks:
• Interview prepartum mothers in the OB ER (fill up cheat sheet)
• Inform residents if there are new patients in the OB ER
• Update residents of the labor status of patients in the labor room (IE,
effacement, BOW etc)
• Make sure that the NICU box has complete materials and
apparatus. If a patient is already in the labor room, setup your
neonatal station in the delivery room ahead of time.
• Take turns in Ambu bagging neonates

DURING DELIVERY:
• Surgical hand wash, dry hands, wear apron, open gloving
• Prepare cloth/ gauze to be used in drying and stimulating the
neonate
• Preform essential new born care, measure anthropometrics
• Do APGAR and Ballard scoring
• Prepare vaccines and administer (Hepa B (left thigh), Vitamin K
(right thigh))

AFTER DELIVERY
• Accomplish paper works (2 sheets), fill up pink vaccination card

Prescribe medications- must be accomplished before 12mn. Usually

NICU nurses will provide you with a summary and you will just have to
rewrite it in the prescription pads (max of 2 medications per pad)
 NICU

RESPONSIBILITIES

FROM DUTY
• Schedule: 7AM-5PM
• Lunch break: 12:00nn-1:30pm (be kind enough to buy food for your
OD counter parts).
Main tasks:
• Accomplish patient’s paper works (medical abstract, discharge
summary). All are typewritten in a prescribed format and printed.
Always have one copy checked by the resident before triplicating.
*residents are strict with the patient’s course in the wards so be very
cautious

ON CALL
• Schedule: 7:30AM-5PM
• Lunch break: 12:00nn-1:30pm (same with FD)
Main tasks:
• Do procedures outside the NICU (Stepdown and OB ward)
-IV insertion
-blood extraction
• Answer phone calls
*On calls are second call for catching babies in the event that all ODs
are consumed in cases such as double table delivery and
simultaneous CS in the OR and NSVD in the DR.
PSYCHIATRY
 PSYCHIATRY

GENERAL INFORMATION

7:30am – Hataw exercise in the ward

8:00am – Endorsement (depends on the resident)
9:00am – go to the OPD for consults

DO NOT FORGET YOUR PINK BAG and PINK FOLDER

Prepare ½ index card with you 2x2 picture on it.

PAPER WORKS:
For Ward Admission the chart must have:
1. Psychiatric Report (within 24hrs of admission)
2. If referral  referral form
3. 5 sheets (within 24hrs except the case discussion: 48hrs)
4. SRQ
5. Psychiatric Assessment Form
6. Admitting notes

For OPD New consult

1. Complete Psychiatric History and MSE
2. Psychiatric Report
3. SRQ (Self Reported Questionnaire)
4. Psychiatric Assessment Form

OPD RESPONSIBILIIES

• Log in the logbook of consults

• Make receipt (100php for new consults, 50php for follow-up consults)
• Collect the payment form and start interviewing the patient
• Interview patient and make S/O
• assessment and plans (usually, it is copied from the previous consult)
• Inform your resident that interview is done (thru text or call the office)
• Make prescription
• After the consult, log the individual charts in the logbook of the residents
• log it in the general logbook of consults
• Log it in the computer
• Return the charts in the shelf alphabetically

*Always have a stash of the resident’s signed prescription pads

*Don’t forget to charge patients who bought the medications inside the pink
bag
 PSYCHIATRY

RESPONSIBILITIES

ON DUTY
• Schedule: 7AM-7AM (the next day)
• Break: 5pm-7pm; 5am-7am. Take turns. One OD should keep watch
in the wards during break time
Main tasks:
• After doing consults at the OPD, ODs shall man the wards
• Do sleep-wake cycle rounds from 6:00pm until 6:00am.
• Check up on patients every 2 hours and place awake or asleep in
the Sleep wake chart
• Refer to the resident if the patient can’t sleep so that immediate
intervention can be done
• Give their PRN meds if they have one (inform your resident first)
• Be careful not to trigger the patients who are psychotic

RECEIVE PATIENTS IN THE EMERGENCY ROOM

• Make ER chart, interview the patient and refer to the resident
• Do appropriate management (under resident’s orders)and refer to
other departments if necessary
• Make receiving notes if the patient is referred from other
departments
• Make prescription of medications
• Advise the patient and folks if for follow up in the OPD
• Have the patient and folks sign the Consent form and suicide form if
the patient will be admitted
• Deck your patients for admission among yourselves (internal
arrangement
 PSYCHIATRY

RESPONSIBILITIES

FROM DUTY and ON CALL

• Schedule: 7:30AM-5PM
• Sundays and holidays: 8AM -10AM

Main tasks:
OPD Consults as directed in the introduction
On calls are second call in receiving patients in the ER in the event
that all ODs are already receiving patients simultaneously
ANESTHESIOLOGY
 ANESTHESIOLOGY

GENERAL INFORMATION
2 weeks rotation
Roles:
• Assist residents/consultants in preparing the OR room prior to a
procedure
• Assist residents/consultants in the procedures, especially during
induction and recovery
• Attach monitors
• Vital signs monitoring
• Paper works
• Assist in Remote cases (Endoscopy unit, Imaging, Labor
analgesia, etc.)

DUTY SCHEDULE:
5 member group (OD- FD- OD – FD – OC cycle for the whole 2 weeks)
2 OD (7am to 7am the next day)
2 FD (7am to 5pm)
1 OC (7am to 5pm)

4 member group (OD – FD –OD cycle for the whole 2 weeks)

2 OD (24 hours)
2 FD (until 5 pm)

3 member group
1 OD (24 hours)
1 FD (off by 5 pm)
1 OC (off by 12 midnight)

PAPER WORKS
1. Anesthesia Record
3 copies per patient
1st copy goes to the patient’s chart
2nd copy to be collected by the chief resident every Wednesday
or Thursday every week for the Saturday census
3rd copy is the intern’s copy for their own census but will be
collected at the end of the rotation
2. Anesthesia Safety Checklist
3. PACU sheet
 ANESTHESIOLOGY

REQUIREMENTS

1. 2 spinal insertions and 1 intubation

Patient’s data to be passed on a ½ index card with your 2x2 picture (1
piece only please)
Patient’s info
Procedure done
Diagnosis
Anesthesia technique, agents used
Resident who gave you the case and let them sign

2. Handwritten drug list on short bond paper

Drugs used in anesthesia
Classification
Brand names
Mode of action
Onset
Peak
Duration of action

3. 2nd and 3rd copy of anesthesia records in your whole rotation

4. Census (soft and hard copy)
5. Quizzes/ assignments
6. 50 item exam
7. CD
Soft copy of census
Powerpoint slides of your reporting

ENDORSEMENTS

Tuesdays and Saturdays 8-12 am

Be at the office on time
Leave blank anesthesia records, PACU sheet and checklist on each OR
room for ONGOING and ANTICIPATED procedures
Make sure to collect and complete anesthesia records done by
consultants once you return to the OR
 ANESTHESIOLOGY

EQUIPMENT
Monitors per room
Pulse oximeter
BP apparatus
Capnograph
ECG

Observe proper way of attaching

For all adult remote cases (Endoscopy/Imaging/Labor analgesia)

Yellow toolbox
For all pediatric cases in the OR or Remote
Pediatric kit (black and orange double decker)
For surgeries of the head and neck
Long tubes
 ANESTHESIOLOGY

RESPONSIBILITIES

ON DUTY
• Schedule: 7AM-7AM (the next day)
• Leeway of 15 minutes (1minute late after 7:15 = 1 hour demerit)
Main tasks:
Assist inside the OR.
At the start of your day, study the schedule found on the 3 white boards beside
the OR nurses’ station (emergency/elective/remote cases referred to anesthesia)

FROM DUTY
• Schedule: 7AM-5PM (the next day)
• Sunday and Holidays: 8am-10am
Main tasks:
Third call for assist
MORPHINE ROUNDS
• Check schedule on morphine whiteboard. Log all patients in morphine
logbook
• Morphine precautions: REFER IF WITH THE FOLLOWING!
• Nausea and vomiting
• Hypotension
• Urine output (0.5-1.0 cc/kg/hr)
• Facial pruritus
• Can administer 1 hour before or 1 hour after schedule
ASSIST IN REMOTE PROCEDURES
*Always bring Anesth tool box and extra Anesthesia record
• Labor analgesia
• Procedures in Endoscopy unit or Xray

ON CALL
• Schedule: 7:30-5:00PM
• Leeway of 15 minutes (1minute late after 7:15 = 1 hour demerit)
Main tasks:
2nd call for assist inside the OR
ORTHOPEDICS
 ORTHOPEDICS

GENERAL INFORMATION

WEEKLY SCHEDULE:
MWF- OPD Consults (Only one OD should be left in the ER, all others in OPD)
TTH- OR day (all clerks must be in the operating room regardless of status)
Fri- Chief resident’s rounds (always come prepared!)
Sat- chairman’s rounds

DRESS YOUR OWN DECKED PATIENT DAILY! Unlike surgery that on calls do the
dressing

WHOEVER RECEIVED THE PATIENT AT THE ER, THE PATIENT WILL BE

AUTOMATICALLY DECKED TO THAT CLERK.

ON DUTY
• Schedule: 7AM-7AM (the next day)
Main tasks:
Post: Emergency room 7am to 5pm. ER and Ward 5pm onwards
ALWAYS BRING AND SECURE ORTHO BAG
• Interview patient and accomplish ER chart with Trauma sheet
• Assist residents in casting, splinting, wound exploration and wound suturing
• Update ward census and make ER MIS during the your of duty
• Record all patients received in the ER for this will be encoded in your MIS
census!
• Assume tasks of FDs and OCs beyond 5pm
 ORTHOPEDICS

FROM DUTY
• Schedule: 7AM-5PM
Main tasks:
Ward paper works (discharge summary, medical abstract etc)
*Secure ortho slip for patients discharged with casts or as indicated in the
discharge notes
After OPD consults, FDs are tasked to encode OPD census in the ortho laptop

ON CALL
• Schedule: 7:30AM-5PM
Main tasks:
Ward procedures (IV insertion, skin test reading etc)
Prescribe medications for the next day
OPHTHALMOLOGY
ENT - HNS
 OPHTHA - ENT

ON DUTY
• Schedule: 7AM-5AM (the next day)
Main tasks:
Post: WVSU-MC Emergency room
• Augment responsibilities in Surgery ER
• Receive and interview Ophtha-ENT patients in the surgery OPD
• Do paper works and procedures of admitted Ophtha-ENT patients in the whole
hospital
• Scrub in Ophtha-ENT cases scheduled in the operating room
• Always have diagnostic equipment with you

FROM DUTY
• Schedule: 7AM-5PM
• Post: Western Visayas Medical Center Dept of Ophthalmology
Main tasks:
Interview Ophtha patients; 5 part eye exam
*Receive endorsement from Ophtha residents since their schedule is dynamic

ON CALL
• Schedule: 7:30AM-5PM
• Post: Western Visayas Medical Center Dept of ENT-HNS
Main tasks:
Interview ENT patients
*Receive endorsement from ENT residents since their schedule is also dynamic
COMMUNITY
 COMMUNITY

GENERAL INFORMATION

For 6 weeks, clerks will rotate in 3 areas: Igbaras, Sta. Barbara and City Health
Office.

No duty status. Clerks will share the same tasks and responsibilities

No duty during weekends and Holidays

Requirements: At the end of the whole rotation, the following should be

passed in the FCM office: 3 evaluation sheets, copy of reports and photos
burned in a CD, Group Journal, photocopy of logbook entries.

IGBARAS MUNICIPAL HEALTH CENTER

Sample schedule:

Monday Tuesday Wednesday Thursday Friday

Day 1 Day 2 Day 3 Day 4 Day 5

Courtesy call to Consultation Consultation Day Consultation Day Endorsement and
Municipal Health Day 2 at 3 at Municipal 4 at Municipal reporting at FCM
Officer, City Municipal Health Health Center Health Center office
Mayor and Center
Go home by Laboratory works
lunch time in the afternoon
Day 1
consultation at
Municipal Health
Center
Day 6 Day 7 Day 8 Day 9 Day 10
Consultation Consultation Day Consultation Day Consultation Day Endorsement and
Day 5 at 6 at Municipal 6 at Municipal 7 at Municipal reporting at FCM
Municipal Health Health Center Health Center Health Center office
Center

Go home by Laboratory works

lunch time in the afternoon
 IGBARAS MUNICIPAL HEALTH CENTER

For two weeks, the group will rotate in Igbaras Municipal Health
Center. Consultations are mostly confined in the health center. If
allowed, you will also travel and immerse in far flung barangays
such as Igtalongon. Often times there are scheduled immunization
and circumcision drives conducted by the local government.

You shall be staying in the house of tita fe and Lola Rosa fro P300 a
night (rates may change without prior notice). This covers full
bedroom, bathroom and kitchen use.

On your first day, you shall conduct courtesy calls with the
municipal health officer, city mayor and with Dr. Esmeralda who
offers accommodation in his rest house (free videoke and drinks.
yey).
 WESTERN VISAYAS SANITARIUM – SANTA BARBARA
Sample schedule:
Monday Tuesday Wednesday Thursday Friday

Day 1 Day 2 Day 3 Day 4 Day 5

AM Courtesy Calls Consultations at Consultations at Consultations Endorsement
and assignment of out patient out patient at out patient and reporting
health lecture department department department at FCM office
topics

PM consultation Visit at Leprosy Visit assigned Visit at Leprosy Laboratory

Ward family Ward requirements

Day 6 Day 7 Day 8 Day 9 Day 10

AM Consultations at Consultations at Consultations at Consultations Endorsement
out patient out patient out patient at out patient and reporting
department department department department at FCM office

PM Health teaching: Health teaching: Visitassigned Family index Laboratory

family reporting at requirements
FCM office of
Sanitarium

For the next two weeks, the group will rotate in Western Visayas Sanitarium Out
Patient Department to be exposed in dermatology cases. Each member will
be assigned with a health teaching topic to which they will present in
scheduled days. The Office of the Family and Community Medicine of the
institution will also assign one family to which the clerks will make their family
health record, assessment and health care plan.
 ILOILO CITY HEALTH OFFICE AND TANZA HEALTH CENTER
Sample schedule:
Monday Tuesday Wednesday Thursday Friday

Day 1 Day 2 Day 3 Day 4 Day 5

AM Courtesy Calls Consultations at Consultation at Consultations Post graduate
Tanza health City health at Tanza course on
Consultation at center office health center cancer
City health office prevention

PM Hospice Care Hospice Care Laboratory

requirements

Day 6 Day 7 Day 8 Day 9 Day 10

AM Consultation at Consultations at Consultation at Consultations Endorsement
City health office Tanza health City health at Tanza and reporting
center office health center at FCM office

PM Hospice Care Hospice Care Laboratory

requirements

For two weeks, the group alternately rotates in the city health office during
Mondays and Wednesdays and in Tanza health center during Tuesdays
and Thursdays. Every Tuesday and Thursday afternoon, clerks will go
around the city to visit hospice patients together with the college of
medicine’s van driver, manong Boy. You will travel as far as Arevallo to
check and assess the wellbeing of our patients.
 REQUIREMENTS

REQUIREMENTS FOR GRADUATION:

1. Laboratory Requirements (with signed index card, laboratory result
forms and back page of logbook)
NEVER EVER EVER EVER LOSE YOUR INDEX CARD AND LABORATORY
RESULT FORMS!
Community Lab requirements:
5 CBC
5 Urinalysis
5 Fecalysis

In patient Lab requirements:

5 CBC
5 Urinalysis
5 Fecalysis

Total: 10 CBC, 10 Urinalysis, 10 Fecalysis

2. Clerkship logbook completely signed by the chief residents and

designated signatories. Logbooks should have updated table of
contents and attached tab dividers on the side

3. Hospital and University Clearance

4. Pass the comprehensive exam